Demaura H Russell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2013-01723 Issued in NC

Practice address

702 N Main St
Roxboro, NC 27573-4755

Phone

(336) 599-9271

Fax

(336) 599-0347

NPI assigned

Apr 21, 2011

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Demaura Kenet Hawkins Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greenville Health Care PAGroup PAC ID 3173892841, 6 clinicians

Hope Regional Medical ClinicGroup PAC ID 2961735873, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: demaura.russell.1@23963.direct.athenahealth.com
• Direct secure messaging: demaura.russellmd.p1@direct.personfamily.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/CJDGCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Regional Medical Clinic

  • Family Medicine Physician
  • Warrenton, NC
  • NPI 1710448006
  Medicare reassignment Care Compare group Authorized official
• Greenville Health Care PA

  • General Practice Physician
  • Greenville, NC
  • NPI 1700323557
  Medicare reassignment Care Compare group NPD
• Impact Healthcare, P.a.

  dba Impact Primary and Urgent Care

  • Family Medicine Physician
  • Louisburg, NC
  • NPI 1124537246
  Medicare reassignment NPD
• Vance Family Medicine, PA

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1619938479
  Medicare reassignment NPD
• Apogee Medical Group North Carolina

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1043518228

  NC

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Kerr Area Rural Medical Alliance PLLC

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1558975433
  NPD (past)
• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1194899542
  NPD (past)
• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1952493587
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Maria Parham Medical Center LLC

  dba Maria Parham Medical Center

  • General Acute Care Hospital
  • Henderson, NC
  • NPI 1164707725
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  dba Maria Parham Franklin

  • Psychiatric Hospital Unit
  • Louisburg, NC
  • NPI 1689166605
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1114218492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-599-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-599-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEMAURA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01723",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-01723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114218492",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMAURA",
            "last_name": "HAWKINS",
            "middle_name": "KENET",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxboro Medical Associates, P.a.
• Roxboro Nursing Center, Inc
• Roxboro Nursing Center, Inc.
• Roxboro Operating Al, LLC (The Canterbury House)
• Deana Russell, PHARMD
• Ruth Family Services LLC
• Allison Sanders, LCSWA
• Rose Keller Satterfield, DMD
• Saunders Chiropractic Clinic PA
• Stephanie L Saunders, DC

• Family Medicine Physician in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.